Provider Demographics
NPI:1144621723
Name:LOMITA CARE PHARMACY INC
Entity Type:Organization
Organization Name:LOMITA CARE PHARMACY INC
Other - Org Name:LOMITA CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:VARTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YOLCHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:310-378-4999
Mailing Address - Street 1:3655 LOMITA BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3931
Mailing Address - Country:US
Mailing Address - Phone:310-378-4999
Mailing Address - Fax:310-378-4555
Practice Address - Street 1:3655 LOMITA BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3931
Practice Address - Country:US
Practice Address - Phone:310-378-4999
Practice Address - Fax:310-378-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 520163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56-52866OtherNCPDP
CA1144621723Medicaid